Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $676.08	Professional		$63.10	$75.86	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $114.82 / $114.82	Professional		$104.71	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $131.83	Facility		$75.86	$75.86	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $223.87	Professional		$75.86	$134.90	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $134.90 / $602.56	Facility		$75.86	$134.90	$602.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $125.89	Professional		$38.90	$58.88	$125.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $295.12	Professional		$128.82	$162.18	$295.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $223.87 / $295.12	Professional		$162.18	$223.87	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $69.18 / $134.90	Facility		$44.67	$69.18	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $93.33	Professional		$38.90	$58.88	$93.33